EP1291038A3 - Pacemaker with enhanced capture tracking - Google Patents
Pacemaker with enhanced capture tracking Download PDFInfo
- Publication number
- EP1291038A3 EP1291038A3 EP02256253A EP02256253A EP1291038A3 EP 1291038 A3 EP1291038 A3 EP 1291038A3 EP 02256253 A EP02256253 A EP 02256253A EP 02256253 A EP02256253 A EP 02256253A EP 1291038 A3 EP1291038 A3 EP 1291038A3
- Authority
- EP
- European Patent Office
- Prior art keywords
- capture
- post
- loss
- pacemaker
- pulse electrical
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/362—Heart stimulators
- A61N1/37—Monitoring; Protecting
- A61N1/371—Capture, i.e. successful stimulation
- A61N1/3712—Auto-capture, i.e. automatic adjustment of the stimulation threshold
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/362—Heart stimulators
- A61N1/37—Monitoring; Protecting
- A61N1/371—Capture, i.e. successful stimulation
- A61N1/3716—Capture, i.e. successful stimulation with reduction of residual polarisation effects
Landscapes
- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Electrotherapy Devices (AREA)
Abstract
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US952458 | 1992-09-29 | ||
US09/952,458 US7006869B2 (en) | 2001-09-10 | 2001-09-10 | Method and device for enhanced capture tracking by discrimination of fusion beats |
Publications (3)
Publication Number | Publication Date |
---|---|
EP1291038A2 EP1291038A2 (en) | 2003-03-12 |
EP1291038A3 true EP1291038A3 (en) | 2005-01-05 |
EP1291038B1 EP1291038B1 (en) | 2007-06-20 |
Family
ID=25492935
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP02256253A Expired - Lifetime EP1291038B1 (en) | 2001-09-10 | 2002-09-10 | Pacemaker with enhanced capture tracking |
Country Status (3)
Country | Link |
---|---|
US (1) | US7006869B2 (en) |
EP (1) | EP1291038B1 (en) |
DE (1) | DE60220751T2 (en) |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8983602B2 (en) | 2007-08-07 | 2015-03-17 | Cardiac Pacemakers, Inc. | Method and apparatus to perform electrode combination selection |
US9533160B2 (en) | 2007-08-07 | 2017-01-03 | Cardiac Pacemakers, Inc. | Method and apparatus to perform electrode combination selection |
Families Citing this family (79)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6731985B2 (en) * | 2001-10-16 | 2004-05-04 | Pacesetter, Inc. | Implantable cardiac stimulation system and method for automatic capture verification calibration |
US7330757B2 (en) | 2001-11-21 | 2008-02-12 | Cameron Health, Inc. | Method for discriminating between ventricular and supraventricular arrhythmias |
US7248921B2 (en) * | 2003-06-02 | 2007-07-24 | Cameron Health, Inc. | Method and devices for performing cardiac waveform appraisal |
US7203543B2 (en) * | 2002-10-23 | 2007-04-10 | Cardiac Pacemakers, Inc. | Method and system for detecting capture using a coronary vein electrode |
US7123963B2 (en) * | 2002-10-31 | 2006-10-17 | Medtronic, Inc. | Method of automatic evoked response sensing vector selection using evoked response waveform analysis |
US7144507B2 (en) * | 2002-12-11 | 2006-12-05 | Paul Baskis | Dry cycle anaerobic digester |
US7191004B2 (en) * | 2002-12-31 | 2007-03-13 | Cardiac Pacemakers, Inc. | Capture verification using an evoked response reference |
US7162301B2 (en) * | 2002-12-31 | 2007-01-09 | Cardiac Pacemakers, Inc. | Method and system for detecting capture with cancellation of pacing artifact |
US7957801B2 (en) * | 2003-04-25 | 2011-06-07 | Medtronic, Inc. | Dynamic pacing interval extension for detection of intrinsic ventricular activity |
US20040215276A1 (en) * | 2003-04-25 | 2004-10-28 | Patrick Scholten | Form analysis to detect evoked response |
US7477932B2 (en) | 2003-05-28 | 2009-01-13 | Cardiac Pacemakers, Inc. | Cardiac waveform template creation, maintenance and use |
US20060247693A1 (en) | 2005-04-28 | 2006-11-02 | Yanting Dong | Non-captured intrinsic discrimination in cardiac pacing response classification |
US7319900B2 (en) * | 2003-12-11 | 2008-01-15 | Cardiac Pacemakers, Inc. | Cardiac response classification using multiple classification windows |
US8521284B2 (en) * | 2003-12-12 | 2013-08-27 | Cardiac Pacemakers, Inc. | Cardiac response classification using multisite sensing and pacing |
US7774064B2 (en) * | 2003-12-12 | 2010-08-10 | Cardiac Pacemakers, Inc. | Cardiac response classification using retriggerable classification windows |
US20050192848A1 (en) * | 2004-02-26 | 2005-09-01 | Vocantas Inc. | Method and apparatus for automated post-discharge follow-up of medical patients |
US7236825B2 (en) * | 2004-04-30 | 2007-06-26 | Medtronic, Inc. | Cardiac activity sensing during pacing in implantable devices |
US7697993B2 (en) * | 2004-05-13 | 2010-04-13 | Cardiac Pacemakers, Inc. | Method and apparatus for question-based programming of cardiac rhythm management devices |
US7706866B2 (en) * | 2004-06-24 | 2010-04-27 | Cardiac Pacemakers, Inc. | Automatic orientation determination for ECG measurements using multiple electrodes |
DE602004020123D1 (en) | 2004-08-31 | 2009-04-30 | St Jude Medical | DEVICE AND SYSTEM FOR HEART STIMULATION |
US7797036B2 (en) * | 2004-11-30 | 2010-09-14 | Cardiac Pacemakers, Inc. | Cardiac activation sequence monitoring for ischemia detection |
US7509170B2 (en) * | 2005-05-09 | 2009-03-24 | Cardiac Pacemakers, Inc. | Automatic capture verification using electrocardiograms sensed from multiple implanted electrodes |
US7890159B2 (en) * | 2004-09-30 | 2011-02-15 | Cardiac Pacemakers, Inc. | Cardiac activation sequence monitoring and tracking |
US7917196B2 (en) | 2005-05-09 | 2011-03-29 | Cardiac Pacemakers, Inc. | Arrhythmia discrimination using electrocardiograms sensed from multiple implanted electrodes |
US7457664B2 (en) | 2005-05-09 | 2008-11-25 | Cardiac Pacemakers, Inc. | Closed loop cardiac resynchronization therapy using cardiac activation sequence information |
US7805185B2 (en) | 2005-05-09 | 2010-09-28 | Cardiac Pacemakers, In. | Posture monitoring using cardiac activation sequences |
US7761162B2 (en) * | 2004-12-13 | 2010-07-20 | Cardiac Pacemakers, Inc. | Capture verification with intrinsic response discrimination |
US7908006B2 (en) * | 2004-12-15 | 2011-03-15 | Cardiac Pacemakers, Inc. | Cardiac pacing response classification using an adaptable classification interval |
US7734347B2 (en) * | 2004-12-15 | 2010-06-08 | Cardiac Pacemakers, Inc. | Cardiac pacing response classification based on waveform feature variability |
US8229561B2 (en) * | 2004-12-15 | 2012-07-24 | Cardiac Pacemakers, Inc. | Atrial retrograde management |
EP2397186B1 (en) * | 2004-12-15 | 2018-01-24 | Cardiac Pacemakers, Inc. | Cardiac capture verification |
US7930029B2 (en) * | 2004-12-15 | 2011-04-19 | Cardiac Pacemakers, Inc. | Template initialization for evoked response detection |
US7257447B2 (en) * | 2005-04-20 | 2007-08-14 | Cardiac Pacemakers, Inc. | Method and apparatus for indication-based programming of cardiac rhythm management devices |
US7392086B2 (en) * | 2005-04-26 | 2008-06-24 | Cardiac Pacemakers, Inc. | Implantable cardiac device and method for reduced phrenic nerve stimulation |
US7765004B2 (en) | 2005-04-28 | 2010-07-27 | Cardiac Pacemakers, Inc. | Methods and systems for managing fusion and noise in cardiac pacing response classification |
US7574260B2 (en) * | 2005-04-28 | 2009-08-11 | Cardiac Pacemakers, Inc. | Adaptive windowing for cardiac waveform discrimination |
US7392088B2 (en) * | 2005-04-28 | 2008-06-24 | Cardiac Pacemakers, Inc. | Capture detection for multi-chamber pacing |
US7499751B2 (en) * | 2005-04-28 | 2009-03-03 | Cardiac Pacemakers, Inc. | Cardiac signal template generation using waveform clustering |
US7457666B2 (en) | 2005-05-25 | 2008-11-25 | Cardiac Pacemakers, Inc. | Retrograde atrial sensing for identifying sub-threshold atrial pacing |
US7593771B2 (en) * | 2005-06-21 | 2009-09-22 | Cardiac Pacemakers, Inc. | Post-shock management of implantable cardiac device features |
US7529578B2 (en) * | 2005-07-12 | 2009-05-05 | Cardiac Pacemakers, Inc. | Multi channel approach to capture verification |
ATE536910T1 (en) * | 2005-10-31 | 2011-12-15 | St Jude Medical | IMPLANTABLE HEART STIMULATION DEVICE |
JP2007149842A (en) * | 2005-11-25 | 2007-06-14 | Sanyo Electric Co Ltd | Semiconductor device |
US7610090B1 (en) * | 2006-03-01 | 2009-10-27 | Pacesetter, Inc. | Implantable medical device with automatic sensing adjustment |
US7894897B1 (en) | 2006-05-03 | 2011-02-22 | Pacesetter, Inc. | Implantable cardiac stimulation device providing enhanced capture threshold management in the presence of fusion beats and method |
US7587243B1 (en) * | 2006-05-08 | 2009-09-08 | Pacesetter, Inc. | System and method for verifying capture and/or event sensing during manual threshold evaluations of an implantable cardiac stimulation device |
US8527048B2 (en) * | 2006-06-29 | 2013-09-03 | Cardiac Pacemakers, Inc. | Local and non-local sensing for cardiac pacing |
US20080004665A1 (en) * | 2006-06-29 | 2008-01-03 | Mccabe Aaron R | Determination of cardiac pacing parameters based on non-localized sensing |
US7580741B2 (en) * | 2006-08-18 | 2009-08-25 | Cardiac Pacemakers, Inc. | Method and device for determination of arrhythmia rate zone thresholds using a probability function |
US7920920B1 (en) * | 2006-08-31 | 2011-04-05 | Pacesetter, Inc. | Algorithm for capture detection |
US8712507B2 (en) * | 2006-09-14 | 2014-04-29 | Cardiac Pacemakers, Inc. | Systems and methods for arranging and labeling cardiac episodes |
US8209013B2 (en) * | 2006-09-14 | 2012-06-26 | Cardiac Pacemakers, Inc. | Therapeutic electrical stimulation that avoids undesirable activation |
US7647104B1 (en) * | 2006-10-13 | 2010-01-12 | Pacesetter, Inc. | Ischemia detection using paced depolarization integral and intracardiac electrogram template comparison |
US7801610B2 (en) * | 2006-11-17 | 2010-09-21 | Cardiac Pacemakers, Inc. | Methods and systems for management of atrial retrograde conduction and pacemaker mediated tachyarrhythmia |
US8290590B2 (en) * | 2006-11-17 | 2012-10-16 | Cardiac Pacemakers, Inc. | Dynamic morphology based atrial automatic threshold |
US7941208B2 (en) * | 2006-11-29 | 2011-05-10 | Cardiac Pacemakers, Inc. | Therapy delivery for identified tachyarrhythmia episode types |
US20080228093A1 (en) * | 2007-03-13 | 2008-09-18 | Yanting Dong | Systems and methods for enhancing cardiac signal features used in morphology discrimination |
WO2008130293A1 (en) * | 2007-04-24 | 2008-10-30 | St. Jude Medical Ab | Implantable heart stimulating device |
US7899536B1 (en) | 2007-05-15 | 2011-03-01 | Pacesetter, Inc. | Morphology discrimination for capture assessment |
EP1995685A3 (en) | 2007-05-21 | 2012-08-01 | Biotronik CRM Patent AG | Medical device for monitoring biological signal |
EP2254661B1 (en) | 2008-02-14 | 2015-10-07 | Cardiac Pacemakers, Inc. | Apparatus for phrenic stimulation detection |
US20100042176A1 (en) * | 2008-08-12 | 2010-02-18 | Pacesetter, Inc. | Temporal-based cardiac capture threshold detection |
EP2349467B1 (en) | 2008-10-06 | 2017-08-23 | Cardiac Pacemakers, Inc. | Dynamic cardiac resynchronization therapy by tracking intrinsic conduction |
US8452405B2 (en) * | 2009-05-05 | 2013-05-28 | Cardiac Pacemakers, Inc. | Methods and systems for mitigating the occurrence of arrhythmia during atrial pacing |
US8121688B2 (en) * | 2009-06-12 | 2012-02-21 | Pacestter, Inc. | Method and system for automatically switching between modes of an implantable medical device |
US8170671B2 (en) * | 2009-06-12 | 2012-05-01 | Pacesetter, Inc. | Method and system for overdriving a heart chamber during a threshold search according to an AV delay |
US9345890B2 (en) * | 2009-06-15 | 2016-05-24 | Cardiac Pacemakers, Inc. | Systems and methods for managing noise in implantable medical devices |
US8457741B2 (en) | 2009-10-22 | 2013-06-04 | Cardiac Pacemakers, Inc. | Estimation of dedicated bipolar pacing vector threshold |
US20120289841A1 (en) * | 2009-12-01 | 2012-11-15 | QDevice Medical, Inc. | Apparatus and calibration method for blood pressure measurement |
US8588905B2 (en) | 2010-05-28 | 2013-11-19 | Pacesetter, Inc. | Method and system for adjusting a stimulation rate of an implantable medical device |
US8468111B1 (en) | 2010-11-30 | 2013-06-18 | Raytheon Company | Determining confidence of object identification |
US8260052B1 (en) | 2010-11-30 | 2012-09-04 | Raytheon Company | Object identification via data fusion |
US8595177B1 (en) | 2011-03-08 | 2013-11-26 | Raytheon Company | Risk management for object identification |
US8509890B2 (en) | 2011-04-21 | 2013-08-13 | Pacesetter, Inc. | Capture verification and pacing adjustments for use with multisite left ventricular pacing |
US8478407B2 (en) | 2011-07-28 | 2013-07-02 | Medtronic, Inc. | Methods for promoting intrinsic activation in single chamber implantable cardiac pacing systems |
US8626294B2 (en) | 2011-07-29 | 2014-01-07 | Medtronic, Inc. | Methods for setting cardiac pacing parameters in relatively high efficiency pacing systems |
US8781584B2 (en) | 2012-11-15 | 2014-07-15 | Medtronic, Inc. | Capture threshold measurement for selection of pacing vector |
US9050013B2 (en) | 2013-01-22 | 2015-06-09 | Biotronik Se & Co. Kg | Device and method for fusion beat detection |
JP7164375B2 (en) * | 2018-09-25 | 2022-11-01 | 日本光電工業株式会社 | Pulse discriminator and electrocardiogram analyzer |
Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4969462A (en) * | 1988-03-25 | 1990-11-13 | Telectronics N.V. | Pacemaker with improved automatic output regulation |
US5350410A (en) * | 1992-11-23 | 1994-09-27 | Siemens Pacesetter, Inc. | Autocapture system for implantable pulse generator |
US5411533A (en) * | 1991-08-09 | 1995-05-02 | Ela Medical S.A. | Method and device for checking stimulation power in a pacemaker |
EP0870516A2 (en) * | 1997-03-12 | 1998-10-14 | Vitatron Medical B.V. | Pacemaker system with improved evoked response and repolarization signal detection |
EP0904802A2 (en) * | 1997-08-29 | 1999-03-31 | Pacesetter, Inc. | Apparatus for preventing development of atrial fibrillation |
EP1023919A2 (en) * | 1999-01-26 | 2000-08-02 | Pacesetter, Inc. | An implantable cardiac stimulation device |
Family Cites Families (18)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4686988A (en) | 1984-10-19 | 1987-08-18 | Sholder Jason A | Pacemaker system and method for measuring and monitoring cardiac activity and for determining and maintaining capture |
US4729376A (en) | 1985-05-28 | 1988-03-08 | Cordis Corporation | Cardiac pacer and method providing means for periodically determining capture threshold and adjusting pulse output level accordingly |
US4708142A (en) | 1985-05-28 | 1987-11-24 | Cordis Corporation | Automatic cardiac capture threshold determination system and method |
US4788980A (en) | 1986-07-18 | 1988-12-06 | Siemens-Pacesetter, Inc. | Pacemaker having PVC response and PMT terminating features |
US4809697A (en) | 1987-10-14 | 1989-03-07 | Siemens-Pacesetter, Inc. | Interactive programming and diagnostic system for use with implantable pacemaker |
US4969467A (en) | 1988-03-25 | 1990-11-13 | Telectronics N.V. | Pacemaker with improved automatic output regulation |
US4940052A (en) | 1989-01-25 | 1990-07-10 | Siemens-Pacesetter, Inc. | Microprocessor controlled rate-responsive pacemaker having automatic rate response threshold adjustment |
US4944298A (en) | 1989-05-23 | 1990-07-31 | Siemens-Pacesetter, Inc. | Atrial rate based programmable pacemaker with automatic mode switching means |
US4944299A (en) | 1989-08-08 | 1990-07-31 | Siemens-Pacesetter, Inc. | High speed digital telemetry system for implantable device |
US5685315A (en) | 1992-12-01 | 1997-11-11 | Pacesetter, Inc. | Cardiac arrhythmia detection system for an implantable stimulation device |
US5466254A (en) | 1993-09-22 | 1995-11-14 | Pacesetter, Inc. | Coronary sinus lead with atrial sensing capability |
US5400795A (en) | 1993-10-22 | 1995-03-28 | Telectronics Pacing Systems, Inc. | Method of classifying heart rhythms by analyzing several morphology defining metrics derived for a patient's QRS complex |
US5476483A (en) | 1994-06-10 | 1995-12-19 | Pacesetter, Inc. | System and method for modulating the base rate during sleep for a rate-responsive cardiac pacemaker |
US5573550A (en) | 1995-04-28 | 1996-11-12 | Pacesetter, Inc. | Implantable stimulation device having a low noise, low power, precision amplifier for amplifying cardiac signals |
US5683431A (en) * | 1996-03-27 | 1997-11-04 | Medtronic, Inc. | Verification of capture by sensing evoked response across cardioversion electrodes |
SE9603865D0 (en) | 1996-10-21 | 1996-10-21 | Pacesetter Ab | Heart stimulating device |
DE19938376A1 (en) * | 1999-08-06 | 2001-02-08 | Biotronik Mess & Therapieg | Device for the detection of fusion events when electrostimulation of the heart |
US6456881B1 (en) * | 2000-08-02 | 2002-09-24 | Pacesetter, Inc. | System and method of identifying fusion for dual-chamber automatic capture stimulation device |
-
2001
- 2001-09-10 US US09/952,458 patent/US7006869B2/en not_active Expired - Lifetime
-
2002
- 2002-09-10 DE DE60220751T patent/DE60220751T2/en not_active Expired - Lifetime
- 2002-09-10 EP EP02256253A patent/EP1291038B1/en not_active Expired - Lifetime
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4969462A (en) * | 1988-03-25 | 1990-11-13 | Telectronics N.V. | Pacemaker with improved automatic output regulation |
US5411533A (en) * | 1991-08-09 | 1995-05-02 | Ela Medical S.A. | Method and device for checking stimulation power in a pacemaker |
US5350410A (en) * | 1992-11-23 | 1994-09-27 | Siemens Pacesetter, Inc. | Autocapture system for implantable pulse generator |
EP0870516A2 (en) * | 1997-03-12 | 1998-10-14 | Vitatron Medical B.V. | Pacemaker system with improved evoked response and repolarization signal detection |
EP0904802A2 (en) * | 1997-08-29 | 1999-03-31 | Pacesetter, Inc. | Apparatus for preventing development of atrial fibrillation |
EP1023919A2 (en) * | 1999-01-26 | 2000-08-02 | Pacesetter, Inc. | An implantable cardiac stimulation device |
Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8983602B2 (en) | 2007-08-07 | 2015-03-17 | Cardiac Pacemakers, Inc. | Method and apparatus to perform electrode combination selection |
US9008775B2 (en) | 2007-08-07 | 2015-04-14 | Cardiac Pacemakers, Inc. | Method and apparatus to perform electrode combination selection |
US9427588B2 (en) | 2007-08-07 | 2016-08-30 | Cardiac Pacemakers, Inc. | Method and apparatus to perform electrode combination selection |
US9533160B2 (en) | 2007-08-07 | 2017-01-03 | Cardiac Pacemakers, Inc. | Method and apparatus to perform electrode combination selection |
US9539429B2 (en) | 2007-08-07 | 2017-01-10 | Cardiac Pacemakers, Inc. | Method and apparatus to perform electrode combination selection |
Also Published As
Publication number | Publication date |
---|---|
US20030050671A1 (en) | 2003-03-13 |
DE60220751D1 (en) | 2007-08-02 |
US7006869B2 (en) | 2006-02-28 |
EP1291038B1 (en) | 2007-06-20 |
DE60220751T2 (en) | 2008-03-06 |
EP1291038A2 (en) | 2003-03-12 |
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